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How can I Teach the Patient to Count Carbohydrates

Year 2017, Volume: 5 Issue: 4, 5 - 7, 10.04.2017

Abstract

Abstract

In diabetic individuals, nutritional therapy is an indispensable element for blood sugarregulation. It is very important for nutritional therapy to be feasible and sustainable. Oneof the most common meal planning methods in diabetic individuals is carbohydrate counting. Carbohydrates are nutrients that affect blood sugar as a primer. The method ofcarbohydrate counting is a meal planning method that allows the dosage of carbohydrate to be consumed at meals and the dosage of insulin to be adjusted according to theblood glucose values. With this method, diabetic  individuals can provide better glycemic control. Diabetic complications can be prevented by providing target blood glucose levels. Much work is needed to explain the relationship between blood glucose re-ulation and carbohydrate counting.

References

  • Kaynaklar 1.American Diabetes Association. Standards of medical care in diabetes-2017. Diabetes Care 2017; 40 (suppl 1): 1-2. 2.Dias Viviane M, Pandini Juliana A, Nunes Raquel R, Sperandei SandroLM, Portella Emilson S, Cobas Roberta A, Gomes Marília de B, Effectof the carbohydrate counting method on glycemic control in patients withtype 1 diabetes, Diabetology & Metabolic Syndrome, 77 , 2010, 2:54. 3.Zipp Christopher, Roehr Jessica Terrone, Weiss Lucia Beck, Filipetto Frank,Impact of intensive nutritional education with carbohydrate counting ondiabetes control in type 2 diabetic patients, 2011:5 7–12. 4.Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, KarsidagK, Genc S, Telci A, Canbaz B, Turker F, Yilmaz T, Cakir B, TuomilehtoJ; TURDEP-II Study Group. Twelve-year trends in the prevalence and riskfactors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol.2013;28(2):169-180American Diabetes Association. Standards of medi-cal care in diabetes-2017. Diabetes Care 2017; 40 (suppl 1): 33-44. 5.Ojo O, Brooke J. Evaluation of the role of enteral nutrition in managingpatients with diabetes: a systematic review. Nutrients 2014;6: 5142–5152 6.Marcy TR, Britton ML, Harrison D. Identification of barriers to approp-riate dietary behavior in low-income patients with type 2 diabetes mel-litus. Diabetes Ther 2011;1:9-19.) 7.Kawamura Tomoyuki, Takamura Chihiro, Hirose Masakazu, Hashimo-to Tomomi, Higashide Takashi et al, The factors affecting on estimati-on of carbohydrate content of meals in carbohydrate counting, Clin Pe-diatr Endocrinol 2015; 24(4), 153–165. 8.American Diabetes Assosation Outstanding Scientific AchievementLecture 2004. Thirty years of investigating the autoimmune basis for type1 diabetes: why can’t we prevent or reverse this disease? Diabetes 54(5):1253–1263, 2005 9.American Diabetes Assosation: Foundations of Care: Education, Nut-rition, Physical Activity, Smoking Cessation, Psychosocial Care, and Im-munization. Diabetes Care 2015;38(Suppl. 1):S20–S30. 10.The Diabetes Control and Complications Trial Research Group The ef-fect of intensive treatment of diabetes on the development and progres-sion of long-term complications in insulin-dependent diabetes mellitus.N Engl J Med 1993;329: 977–86.). 11.Davıs Nıchola J., Rosett Judıth Wylıe, Death to Carbohydrate Counting?,DIABETES CARE, VOLUME 31, NUMBER 7, JULY 2008. 12.American Diabetes Association , Begin Counting ,Warshaw Hope S., Kulkar-ni Karmeen, , Complete Guide to Carb Counting , 2, 2004, 47-71. 13.DUNGAN KATHLEEN M., SAGRILLA COLLEEN, RASOUL MAHMO-UD ABDEL-, OSEI KWAME, Prandial Insulin Dosing Using the Car-bohydrate Counting Technique in Hospitalized Patients With Type 2 Dia-betes, Diabetes Care 36:, 2013, 3476–3482. 14.American Diabetes Association Standards of medical care in diabetes—2013. Diabetes Care;36(Suppl 1), 2013: S11–66 15.Kutluay Merdol Türkan, Pekcan Gülden, Kızıltan Gül, Alphan Emel, ÖzerEmel, Karabudak Efsun ve ark., Diyabette Öğün Planlamasında Karbon-hidrat Sayımı ve Önemi, Kutluay Merdol Türkan, Temel Beslenme veDiyetetik, 1, Güneş Yayınevi, 2015, 289-303. 16.American Diabetes Association , Begin Counting ,Warshaw Hope S., Kulkar-ni Karmeen, , Complete Guide to Carb Counting , 2, 2004, 190-203 17.Alcántara-Aragón Valeria , Gonzalez Cintia, Corcoy Rosa, Ubeda Jus-ta, Chico Ana, Carbohydrate-to-Insulin Ratio in a Mediterranean Po-pulation of Type 1 Diabetic Patients on Continuous Subcutaneous Insu-lin Infusion Therapy, Journal of Diabetes Science and Technology, 9(3),2015, 588–592. 18.Kulkarni Karmeen D., Carbohydrate Counting: A Practical Meal-PlanningOption for People With Diabetes, Clinical Diabetes, 23,3,2005, 120-123.

Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?

Year 2017, Volume: 5 Issue: 4, 5 - 7, 10.04.2017

Abstract

Öz

Diyabetli bireylerde, kan şekeri regülasyonunu sağlamak için beslenme tedavisi vazgeçilmez bir unsurdur. Beslenme tedavisinin uygulanabilir ve sürekliliği sağlanabilir olması oldukça önemlidir. Diyabetli bireylerden sık kullanılan öğün planlama yöntemlerden birisi karbonhidrat sayımıdır. Karbonhidratlar, kan şekerini primer olarak etkileyen besin öğesidir. Karbonhidrat sayım, öğünlerde tüketilecek karbonhidrat miktarı ve kan glikoz değerlerine göre insülin doz ayarlamasına olanak sağlayan bir öğün planlama yöntemidir. Bu yöntem ile diyabetli bireyler, glisemik kontrolü sağlayabilirler.  Hedef kan glikoz seviyelerinin sağlanması ile diyabete bağlı komplikasyonlar önlenebilmektedir.  Kan glikozu regülasyonu ile karbsonhidrat sayım yöntemi arasında ilişkiyi açıklayan birçok çalışmaya ihtiyaç duyulmaktadır.

References

  • Kaynaklar 1.American Diabetes Association. Standards of medical care in diabetes-2017. Diabetes Care 2017; 40 (suppl 1): 1-2. 2.Dias Viviane M, Pandini Juliana A, Nunes Raquel R, Sperandei SandroLM, Portella Emilson S, Cobas Roberta A, Gomes Marília de B, Effectof the carbohydrate counting method on glycemic control in patients withtype 1 diabetes, Diabetology & Metabolic Syndrome, 77 , 2010, 2:54. 3.Zipp Christopher, Roehr Jessica Terrone, Weiss Lucia Beck, Filipetto Frank,Impact of intensive nutritional education with carbohydrate counting ondiabetes control in type 2 diabetic patients, 2011:5 7–12. 4.Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, KarsidagK, Genc S, Telci A, Canbaz B, Turker F, Yilmaz T, Cakir B, TuomilehtoJ; TURDEP-II Study Group. Twelve-year trends in the prevalence and riskfactors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol.2013;28(2):169-180American Diabetes Association. Standards of medi-cal care in diabetes-2017. Diabetes Care 2017; 40 (suppl 1): 33-44. 5.Ojo O, Brooke J. Evaluation of the role of enteral nutrition in managingpatients with diabetes: a systematic review. Nutrients 2014;6: 5142–5152 6.Marcy TR, Britton ML, Harrison D. Identification of barriers to approp-riate dietary behavior in low-income patients with type 2 diabetes mel-litus. Diabetes Ther 2011;1:9-19.) 7.Kawamura Tomoyuki, Takamura Chihiro, Hirose Masakazu, Hashimo-to Tomomi, Higashide Takashi et al, The factors affecting on estimati-on of carbohydrate content of meals in carbohydrate counting, Clin Pe-diatr Endocrinol 2015; 24(4), 153–165. 8.American Diabetes Assosation Outstanding Scientific AchievementLecture 2004. Thirty years of investigating the autoimmune basis for type1 diabetes: why can’t we prevent or reverse this disease? Diabetes 54(5):1253–1263, 2005 9.American Diabetes Assosation: Foundations of Care: Education, Nut-rition, Physical Activity, Smoking Cessation, Psychosocial Care, and Im-munization. Diabetes Care 2015;38(Suppl. 1):S20–S30. 10.The Diabetes Control and Complications Trial Research Group The ef-fect of intensive treatment of diabetes on the development and progres-sion of long-term complications in insulin-dependent diabetes mellitus.N Engl J Med 1993;329: 977–86.). 11.Davıs Nıchola J., Rosett Judıth Wylıe, Death to Carbohydrate Counting?,DIABETES CARE, VOLUME 31, NUMBER 7, JULY 2008. 12.American Diabetes Association , Begin Counting ,Warshaw Hope S., Kulkar-ni Karmeen, , Complete Guide to Carb Counting , 2, 2004, 47-71. 13.DUNGAN KATHLEEN M., SAGRILLA COLLEEN, RASOUL MAHMO-UD ABDEL-, OSEI KWAME, Prandial Insulin Dosing Using the Car-bohydrate Counting Technique in Hospitalized Patients With Type 2 Dia-betes, Diabetes Care 36:, 2013, 3476–3482. 14.American Diabetes Association Standards of medical care in diabetes—2013. Diabetes Care;36(Suppl 1), 2013: S11–66 15.Kutluay Merdol Türkan, Pekcan Gülden, Kızıltan Gül, Alphan Emel, ÖzerEmel, Karabudak Efsun ve ark., Diyabette Öğün Planlamasında Karbon-hidrat Sayımı ve Önemi, Kutluay Merdol Türkan, Temel Beslenme veDiyetetik, 1, Güneş Yayınevi, 2015, 289-303. 16.American Diabetes Association , Begin Counting ,Warshaw Hope S., Kulkar-ni Karmeen, , Complete Guide to Carb Counting , 2, 2004, 190-203 17.Alcántara-Aragón Valeria , Gonzalez Cintia, Corcoy Rosa, Ubeda Jus-ta, Chico Ana, Carbohydrate-to-Insulin Ratio in a Mediterranean Po-pulation of Type 1 Diabetic Patients on Continuous Subcutaneous Insu-lin Infusion Therapy, Journal of Diabetes Science and Technology, 9(3),2015, 588–592. 18.Kulkarni Karmeen D., Carbohydrate Counting: A Practical Meal-PlanningOption for People With Diabetes, Clinical Diabetes, 23,3,2005, 120-123.
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Details

Primary Language Turkish
Journal Section Makaleler 1
Authors

Uzm. Dyt. Mine Telek This is me

Publication Date April 10, 2017
Published in Issue Year 2017 Volume: 5 Issue: 4

Cite

APA Telek, U. D. M. (2017). Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?. Klinik Tıp Bilimleri, 5(4), 5-7.
AMA Telek UDM. Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?. Klinik Tıp Bilimleri. April 2017;5(4):5-7.
Chicago Telek, Uzm. Dyt. Mine. “Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?”. Klinik Tıp Bilimleri 5, no. 4 (April 2017): 5-7.
EndNote Telek UDM (April 1, 2017) Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?. Klinik Tıp Bilimleri 5 4 5–7.
IEEE U. D. M. Telek, “Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?”, Klinik Tıp Bilimleri, vol. 5, no. 4, pp. 5–7, 2017.
ISNAD Telek, Uzm. Dyt. Mine. “Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?”. Klinik Tıp Bilimleri 5/4 (April 2017), 5-7.
JAMA Telek UDM. Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?. Klinik Tıp Bilimleri. 2017;5:5–7.
MLA Telek, Uzm. Dyt. Mine. “Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?”. Klinik Tıp Bilimleri, vol. 5, no. 4, 2017, pp. 5-7.
Vancouver Telek UDM. Karbonhidrat Sayımını Hastaya Nasıl Öğretebilirim?. Klinik Tıp Bilimleri. 2017;5(4):5-7.